Kris J Ellington, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004107 Issued in MI

Practice address

3200 Biddle St
3Rd FL
Wyandotte, MI 48192-5937

Phone

(734) 324-3946

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295811347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13947 PERRY",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481934568",
            "telephone_number": "734-284-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BIDDLE ST",
            "address_2": "3RD FL",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925937",
            "telephone_number": "734-324-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "KRIS",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan A Edwards, PHD
• Kristen Nicolle Eiben, LMSW
• Sonya Marie Elgammal, D.O.
• Younes Elhaj
• Hussam Mohamed Aly Elkambergy, M.D
• Mohamed S Elnaggar, M.D.
• Empowered Therapy Services, LLC
• Sarah Ann Endlein
• Asma Iqsbal Engelbrecht, N.P.-C
• Marc Allen Engelbrecht, DO

• Physical Therapist in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.